Individual provider · Type 1 NPI

Theodore Alexander Kung, MD

Plastic and Reconstructive Surgery Physician · Ann Arbor, MI

NPI number 1265695985 Active

Practice location

24 Frank Lloyd Wright Dr, Lobby A
Ann Arbor, MI 48105-9484

Call (734) 998-6022 Map

Mailing address

3621 South State Street, 700 Kms Place
Ann Arbor, MI 48108

Specialties and licenses

TaxonomyCodeLicense
Plastic and Reconstructive Surgery Physician 2086S0122XMD60545604 (WA)
Plastic and Reconstructive Surgery Physician Primary 2086S0122X4301092228 (MI)

Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.

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About NPI 1265695985

Theodore Alexander Kung, MD's National Provider Identifier is 1265695985, issued on Jul 2, 2008. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Ann Arbor, MI. The record was last updated on Aug 29, 2016.